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Good life. Great Service <br />ewa,.ree. a.sevawe <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2307000820-0 Pages: 1 <br />Debtor Name: RE 3 LANDERS <br />Filing Date and Time: 07/28/2023 09:41 AM <br />Notice of State Tax Lien <br />202303854 <br />This Notice of State Tax Lien is issued by the Nebraska <br />Department of Revenue for unpaid taxes administered by the Tax <br />Commissioner. Taxes, including penalties, interest, and costs, <br />which are shown below, are due from the taxpayer and remain <br />unpaid after demand.These taxes are a lien for all property located <br />in the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this lien. This lien will expire and <br />become unenforceable 10 years after the date of recording If no <br />continuation statement is recorded on or prior to the expiration of <br />the previous lien or continuation statement. <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Nebraska ID Number <br />39617217 <br />Federal 0 Number <br />NO FEIN <br />Lien Serial Number <br />12340527 <br />Lien Flied With: <br />Social Security Number <br />XXX -XX -9508 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />/7 Reptater olDeeds ❑County Geek <br />Date of Lion <br />July 25, 2023 <br />Lion Type: <br />® original ❑ Continuation <br />$2,679.00 <br />County <br />HALL <br />■ Corrected <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />JIE J LANDERS <br />1012 EAST ST <br />WOOD RIVER NE 68883 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />2016 <br />02/09/2023 <br />$2,679.00 <br />$133.95 <br />$642.22 <br />$3,455.17 <br />Total <br />$3,455.17 <br />I certify that the Nebraska Department of Revenue has complied with the lows of tate State of Nebraska In determining the erratum shown to be duo, <br />and that the taxpayer has laded to pay the amount due after demand. This Notice of State Tax Lien Is an effective ken and serves to cwntittue the priority of <br />the State's interest in the affected properly of the taxpayer. <br />Revenue Agent 07/25/2023 (402)471-5788 <br />Tale Dab Phone Number <br />Revenue Supervisor 07/25/2023 <br />rwe Date <br />4494.1974 flee 84018 $ueerwdas 4e49ol574 Rev, a.20t3 <br />